Jessica Cunningham

Licensed Practical Nurse · Riverhead, NY

Individual Active NPI

NPI number 1053784439

Practice location

30 Malcolm Way
Riverhead, NY 11901-5204
Phone
(631) 727-7161

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NPI record

NPI
1053784439
Entity type
Individual (Type 1)
Enumeration date
November 5, 2015
Last updated
November 5, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 324087 NY

About Jessica Cunningham

Jessica Cunningham is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 30 Malcolm Way, Riverhead, NY 11901-5204. The NPI number 1053784439 was assigned on November 5, 2015 and the record was last updated on November 5, 2015.

Jessica Cunningham lists a license in the registry: #324087 (NY) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Cunningham?

The NPI number is 1053784439.

What is the phone number of Jessica Cunningham?

The phone number listed for the practice location is (631) 727-7161.

Where is Jessica Cunningham located?

30 Malcolm Way, Riverhead, NY 11901-5204.

What is the taxonomy code for Jessica Cunningham?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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